| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.00 | $1,713.00 | $4,473.00 | |
Aetna
| Professional | $306.63 | $391.90 | $988.59 | |
Anthem BCBS
| Professional | $377.90 | $377.90 | $2,926.00 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $338.52 | $469.56 | $695.30 |